I declare under penalty of perjury that the record of which this declaration is a part or to which it is attached is the same record on which (name of notary public), a notary public, performed a notarial act and before whom I appeared by means of communication technology on (date).
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Signature of remotely located individual
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Printed name of remotely located individual"; and
I (name of notary public) witnessed, by means of communication technology, (name of remotely located individual) sign the attached record and declaration on (date).
This notarial act involved the use of communication technology.
D.C. Code § 1-1231.13a